Organization · Type 2 NPI
Ricardo Gonzales, Ph.d., Psychological Services, LLC
Adult Mental Health Clinic/Center · Glorieta, NM
NPI number
1639444920
Active
Practice location
168 Ave. Ponderosa
Glorieta, NM 87535
Mailing address
PO Box 325
Glorieta, NM 87535-0325
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | #414 (NM) |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | #414 (NM) |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
About NPI 1639444920
Ricardo Gonzales, Ph.d., Psychological Services, LLC's National Provider Identifier is 1639444920, issued on Mar 20, 2012. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Glorieta, NM. The record was last updated on Apr 2, 2012.